Kimura T, Yoshizu H, Hatori N, Shimizu M, Segawa D, Tanaka S
Department of Surgery II, National Defense Medical College, Saitama, Japan.
Nihon Kyobu Geka Gakkai Zasshi. 1997 Apr;45(4):607-10.
A 60-year-old woman who complained of palpitation was diagnosed as ventricular tachycardia on electrocardiography and admitted to our hospital. The ultrasonic cardiography showed cardiac tumor in right ventricle and right atrium. Due to the obstruction of the right ventricle inflow by the tumor, we immediately performed resection of cardiac tumor and repair of right ventricle wall under cardiopulmonary bypass. The tumor was diagnosed as malignant lymphoma by pathological examination for surgical specimen of tumor. After operation her general condition was good, but residual cardiac lymphoma developed large size. We performed radiation therapy for cardiac lymphoma. Therefore the lymphoma was reduced to minimum size. Six months after operation metastatic malignant lymphoma appeared at whole body. So we performed chemotherapy for reduction of systemic malignant lymphoma. At first the chemotherapy was very effective. But metastasis spread rapidly and effectiveness of chemotherapy reduced. Thirteen months after operation she died for respiratory distress, probably due to metastatic brain tumor.
一名60岁女性因心悸就诊，心电图诊断为室性心动过速，遂入住我院。超声心动图显示右心室和右心房有心脏肿瘤。由于肿瘤阻塞右心室流入道，我们立即在体外循环下进行了心脏肿瘤切除术和右心室壁修复术。肿瘤手术标本经病理检查诊断为恶性淋巴瘤。术后她的一般情况良好，但残留的心脏淋巴瘤体积增大。我们对心脏淋巴瘤进行了放射治疗，淋巴瘤体积因此缩小到最小。术后6个月全身出现转移性恶性淋巴瘤，于是我们进行化疗以缩小全身恶性淋巴瘤的体积。起初化疗非常有效，但转移迅速扩散，化疗效果降低。术后13个月，她因呼吸窘迫死亡，可能是由于脑转移瘤。
